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Nephrectomy clinical trials

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NCT ID: NCT06256120 Not yet recruiting - Acute Kidney Injury Clinical Trials

Effect of Fluid Regimen on Acute Kidney Injury

Start date: May 29, 2024
Phase: N/A
Study type: Interventional

Postoperative acute kidney injury (AKI) is an important surgical complication that increases hospital stay and mortality when it occurs after kidney surgery. Studies investigating the effects of restrictive or liberal fluid regimen on postoperative AKI during radical/partial nephrectomy have given controversial results. It is important to recognize AKI early so that supportive treatments can be started early. Serum creatinine level, which is frequently used in the detection of AKI, increases late and causes a delay in diagnosis. It has been reported that cystatin C level increases earlier than creatinine in the diagnosis of AKI, so it can be used for early diagnosis.

NCT ID: NCT05149196 Not yet recruiting - Acute Kidney Injury Clinical Trials

Goal-directed Hemodynamic Management and Kidney Injury After Radical Nephrectomy

Start date: June 30, 2024
Phase: N/A
Study type: Interventional

Radical nephrectomy is a common operation for the treatment of renal cell carcinoma. However, acute kidney injury frequently occurs after surgery. And the occurrence of acute kidney injury is associated with an increased risk of chronic kidney disease. Intraoperative hypotension is identified as an important risk factor of postoperative acute kidney injury. Preliminary studies showed that goal-directed hemodynamic management may reduce kidney injury after surgery but requires further demonstration. We hypothesized that goal-directed hemodynamic management combining hydration, inotropes, and forced diuresis to maintain pulse pressure variation <9%, mean arterial pressure ≥85 mmHg, and urine flow rate >200 ml/h (3ml/kg/h) may reduce the incidence of acute kidney injury and improve long-term renal outcome after radical nephrectomy. The purpose of this study is to investigate the effect of goal-directed hemodynamic management on the occurrence of acute and persistent kidney injury in patients following radical nephrectomy.

NCT ID: NCT05106218 Not yet recruiting - Laparoscopy Clinical Trials

Assessment of the SurroundScope in Urologic Surgical Procedures

Start date: March 2022
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate standard urological surgeries using the 270Surgical system vs same procedures using the standard scope

NCT ID: NCT03218319 Not yet recruiting - Blood Pressure Clinical Trials

Study of the Variations of the Blood Pressure After Nephrectomy for Renal Cancer (VAPANCR)

VAPANCR
Start date: July 2017
Phase: N/A
Study type: Interventional

This study evaluates the impact of nephrectomy in renal cancer on blood pressure and renal function. The patients will have a follow-up of their blood pressure and renal function until 6 months after their operation.